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Preoperative skin antisepsis.

P Ramirez Galleymore1, V Viera2

  • 1Unidad de Medicina Intensiva, Hospital Universitario y Politécnico La Fe, Valencia, España; Centro de Investigación Biomédica en Red-Enfermedades Respiratorias (CibeRes, CB06/06/0028), Instituto de Salud Carlos III, Madrid, España.

Medicina Intensiva
|November 10, 2018
PubMed
Summary
This summary is machine-generated.

Preventing surgical wound infections involves specific skin preparation techniques. Guidelines recommend minimal hair removal before surgery and preoperative showering with antiseptic soap, followed by alcohol-based skin disinfection.

Keywords:
AntisepsiaAntisepsisDucha prequirúrgicaHair removalInfección de la herida quirúrgicaPreoperative showerRetirada de peloSurgical wound infection

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Area of Science:

  • Infection control in surgical settings.
  • Antimicrobial strategies for patient safety.

Background:

  • Surgical wound infection (SWI) is a significant complication with clinical and economic impacts.
  • Multidrug-resistant bacteria and prosthetic implants exacerbate SWI severity.
  • Effective cutaneous preparation is crucial for SWI prevention.

Purpose of the Study:

  • To review current clinical practice guidelines for preoperative cutaneous preparation.
  • To highlight best practices in hair removal, preoperative showering, and skin antisepsis.
  • To emphasize the role of specific antiseptic agents in reducing SWI.

Main Methods:

  • Review of existing clinical practice guidelines on surgical site preparation.
  • Analysis of recommendations for hair removal, preoperative showering, and skin antisepsis.
  • Focus on antiseptic agents, particularly alcoholic chlorhexidine.

Main Results:

  • Hair removal should be avoided unless necessary, using single-use clippers close to surgery.
  • Preoperative showering with soap or antiseptic is recommended the night before surgery.
  • Alcohol-based antiseptics, preferably alcoholic chlorhexidine, are advised for skin preparation due to efficacy and residual effect.

Conclusions:

  • Adherence to recommended cutaneous preparation protocols can significantly reduce surgical wound infections.
  • Proper hair management and preoperative skin antisepsis are vital components of infection control.
  • Alcoholic chlorhexidine offers superior antibacterial activity and prolonged protection for surgical sites.